DOI: https://doi.org/10.14739/2310-1237.2020.2.212811

Відродження концепції та розвиток донорства після циркуляторної смерті людини в еру трансплантації органів

V. O. Tumanskyi, S. I. Vorotyntsev, L. M. Tumanska

Анотація


 

З ХХ століття паралельно зі стандартами смерті цілісного мозку донора і смерті стовбура головного мозку донора, що застосовуються у трансплантології, практичне відродження отримала концепція донорства після циркуляторної смерті людини. Мета роботи – аналіз відродження концепції донорства після циркуляторної смерті людини та протоколів донорства після її констатації. В огляді здійснили ретроспективний аналіз відродження, розвитку концепції циркуляторної смерті людини, що широко застосовується в сучасній трансплантології. Встановили, що головним критерієм циркуляторної смерті людини, що ухвалений в усіх країнах з активними програмами трансплантації органів, є втрата пацієнтом кровообігу та дихання. Висвітлені особливості протоколів донорства після контрольованої та неконтрольованої циркуляторної смерті, донорства після евтаназії, сучасні технології експлантації та зберігання донорських органів, а також морально-етичні проблеми, що пов’язані з контрольованим донорством після циркуляторної смерті. Висновки. Поширення донорства після циркуляторної смерті пацієнта призвело до переконливих успіхів трансплантації нирок, легень, печінки, підшлункової залози та серця.

Ключові слова


донори; циркуляторна смерть; трансплантація органів

Повний текст:

PDF (Русский)

Посилання


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